Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nurse Practitioner, Family

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,063Medicare Part D Prescriptions Filled, Including Refills

Rank: 15 out of 830

$821K Total Retail Price of All Prescriptions

Rank: 11 out of 830

533 Patients Receiving at Least One Drug in Part D
74% Patients 65 Years and Older

59% Subsidized Claims for Low-Income Patients

How Does This Prescriber Compare to Peers?

In the same specialty and state. Caveats »

Drugs That Present Special Risks
Costs of Prescribing
higher than average Average for
this specialty
in Kentucky
lower than average

Antipsychotics

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Antibiotics

39% of this provider’s 533 patients filled at least one prescription for an antibiotic drug, compared to an average of 35%.

More resources »

Risky Drugs for Seniors

9% of this provider’s 394 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

0% of this provider’s 533 patients filled at least one prescription for an opioid, compared to an average of 12%.

More resources »

Brand Name Drugs

21% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$74 was the average price of a prescription from this provider, compared to $72 among peers.

Prescriptions per Patient

21 is the average number of prescriptions (including refills) per patient, compared to an average of 12.


How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all patients.

This Provider's History

A comparison of this provider’s prescribing in Part D since 2012. All years may not be shown if there is insufficient data.

Cost of Claims

2012

2013

$281K

2014

$821K

2015

Number of Claims

2012

2013

3,425

2014

11,063

2015

This Prescriber's Drugs

The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.

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O

An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.

A

An antibiotic drug. More » Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.

P

An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.

R

A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.

10

This provider is among the top 10 prescribers of this drug in the country.

This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.

This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.

This Drug's Rank
Drug Name Total Prescriptions Filled with Refills Prescriptions
to 65+
Patients Receiving this Drug Category For this Prescriber For this Prescriber's Peers
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

513

prescriptions, 5% of all prescriptions

398

prescriptions.

124

patients, 23% of all patients

1 2
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

489

prescriptions, 4% of all prescriptions

373

prescriptions.

121

patients, 23% of all patients

2 7
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

487

prescriptions, 4% of all prescriptions

363

prescriptions.

115

patients, 22% of all patients

3 1
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

442

prescriptions, 4% of all prescriptions

395

prescriptions.

111

patients, 21% of all patients

4 6
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

371

prescriptions, 3% of all prescriptions

292

prescriptions.

95

patients, 18% of all patients

5 11
OMEPRAZOLE

Treats heartburn, stomach u... +

Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Source: National Library of Medicine

259

prescriptions, 2% of all prescriptions

153

prescriptions.

65

patients, 12% of all patients

6 4
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

252

prescriptions, 2% of all prescriptions

199

prescriptions.

69

patients, 13% of all patients

7 9
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

247

prescriptions, 2% of all prescriptions

155

prescriptions.

59

patients, 11% of all patients

8 17
METFORMIN HCL

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

221

prescriptions, 2% of all prescriptions

177

prescriptions.

63

patients, 12% of all patients

9 8
PRAVASTATIN SODIUM

Pravastatin is used with di... +

Pravastatin is used with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Source: National Library of Medicine

214

prescriptions, 2% of all prescriptions

164

prescriptions.

52

patients, 10% of all patients

10 13
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

201

prescriptions, 2% of all prescriptions

158

prescriptions.

47

patients, 9% of all patients

11 15
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

199

prescriptions, 2% of all prescriptions

184

prescriptions.

49

patients, 9% of all patients

12 22
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

195

prescriptions, 2% of all prescriptions

129

prescriptions.

93

patients, 17% of all patients

13 21
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

190

prescriptions, 2% of all prescriptions

134

prescriptions.

46

patients, 9% of all patients

14 56
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

187

prescriptions, 2% of all prescriptions

159

prescriptions.

43

patients, 8% of all patients

15 37
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

185

prescriptions, 2% of all prescriptions

156

prescriptions.

45

patients, 8% of all patients

16 12
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

168

prescriptions, 2% of all prescriptions

152

prescriptions.

38

patients, 7% of all patients

17 18
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

164

prescriptions, 1% of all prescriptions

123

prescriptions.

42

patients, 8% of all patients

18 19
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

152

prescriptions, 1% of all prescriptions

116

prescriptions.

42

patients, 8% of all patients

19 23
CEFDINIR

Treats certain types of ski... +

Treats certain types of skin infections, throat infections, and lung infections, such as pneumonia, bronchitis, sinusitis, pharyngitis, or tonsillitis. Source: National Library of Medicine

141

prescriptions, 1% of all prescriptions

109

prescriptions.

122

patients, 23% of all patients

A 20 79
TAMSULOSIN HCL

Tamsulosin is used in men t... +

Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

140

prescriptions, 1% of all prescriptions

120

prescriptions.

35

patients, 7% of all patients

21 40
GABAPENTIN

Treats certain types of sei... +

Treats certain types of seizures. Source: National Library of Medicine

138

prescriptions, 1% of all prescriptions

76

prescriptions.

38

patients, 7% of all patients

22 3
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

135

prescriptions, 1% of all prescriptions

92

prescriptions.

109

patients, 20% of all patients

23 57
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

134

prescriptions, 1% of all prescriptions

99

prescriptions.

32

patients, 6% of all patients

24 10
HYDRALAZINE HCL

Hydralazine is used to trea... +

Hydralazine is used to treat high blood pressure. Source: National Library of Medicine

134

prescriptions, 1% of all prescriptions

113

prescriptions.

34

patients, 6% of all patients

24 88
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

133

prescriptions, 1% of all prescriptions

118

prescriptions.

35

patients, 7% of all patients

26 25
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

127

prescriptions, 1% of all prescriptions

74

prescriptions.

39

patients, 7% of all patients

27 48
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

69

prescriptions.

31

patients, 6% of all patients

28 71
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

72

prescriptions.

32

patients, 6% of all patients

29 24
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

78

prescriptions.

30

patients, 6% of all patients

29 33
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

68

prescriptions.

23

patients, 4% of all patients

31 103
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

77

prescriptions.

26

patients, 5% of all patients

32 16
METFORMIN HCL ER

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

57

prescriptions.

23

patients, 4% of all patients

33 50
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

85

prescriptions.

24

patients, 5% of all patients

34 52
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

55

prescriptions.

46

patients, 9% of all patients

35 26
CITALOPRAM HBR

Citalopram is used to treat... +

Citalopram is used to treat depression. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

51

prescriptions.

17

patients, 3% of all patients

36 20
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

67

prescriptions.

26

patients, 5% of all patients

37 65
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

51

prescriptions.

28

patients, 5% of all patients

38 90
INVOKANA

Used along with diet and ex... +

Used along with diet and exercise, and sometimes with other medications, to lower blood sugar levels in patients with type 2 diabetes (condition in which blood sugar is too high because the body does not produce or use insulin normally). Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

53

prescriptions.

18

patients, 3% of all patients

39 113
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

56

prescriptions.

14

patients, 3% of all patients

40 14
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

63

prescriptions.

27

patients, 5% of all patients

41 43
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

46

prescriptions.

21

patients, 4% of all patients

42 78
TRAZODONE HCL

Trazodone is used to treat ... +

Trazodone is used to treat depression. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

49

prescriptions.

17

patients, 3% of all patients

43 34
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

26

prescriptions.

22

patients, 4% of all patients

44 91
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

49

prescriptions.

15

patients, 3% of all patients

44 70
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

34

prescriptions.

21

patients, 4% of all patients

46 36
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

52

prescriptions.

13

patients, 2% of all patients

47 75
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

28

prescriptions.

17

patients, 3% of all patients

48 55
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

15

patients, 3% of all patients

49 106
VYTORIN

Lowers high cholesterol and... +

Lowers high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

37

prescriptions.

12

patients, 2% of all patients

49 228
About This Data

Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »

Incorrect Info?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

Caveats
  • No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on Nov. 5, 2014.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
  • In rare circumstances, providers' prescription tallies may be inflated. Sometimes providers are credited with prescriptions written by colleagues (this happens in long-term care facilities) or are victims of fraud involving theft of their provider number.